Treatment Planning

Question 1

the treatment plan

Answer 1

• A detailed plan with information about:
  
  • A patient’s disease
  • The goal of treatment
  • The treatment options for the disease
  • Possible side effects
  • Expected length of treatment and likelihood of success
• May also include information about how much the treatment is likely to cost and about regular follow-up care after treatment ends

only what is necessary

Question 2

history

Answer 2

• C/O
  
  • Main complaint
• HPC
  
  • History of presenting complaint
• DH
  
  • Dental history
• MH
  
  • Medical history
• SH
  
  • Social history
• FH
  
  • Family history

Question 3

4 parts of examination

Answer 3

• Extra oral examination
• Intra oral examination
• Basic periodontal examination
• Dental charting

Question 4

possible special tests/investiagtions

Answer 4

• Study models
• Radiographs
• Pulp tests
• Diet diary

Question 5

possible dental diagnosis Vs possible dental problems

Answer 5

diagnosis

• Caries
• Gingivitis
• Periodontal disease
• Apical periodontitis
• tooth wear

problems

• Poor aesthetics
• Missing teeth
• Loose dentures
• Fractured restoration

Question 6

5 stages of treatment plan

Answer 6

immediate

initial

re-evaluation

reconstructive

maintenance

Question 7

immediate phase of the treatment plan

Answer 7

• What cannot wait until tomorrow? Pain relief mainly

Question 8

initial phase of treatment plan

Answer 8

• What diseases do we need to treat? A.k.a disease control phase

Question 9

re-evaluation phase of treatment plan

Answer 9

• Checking if our treatment has been successful
  
  • Is more treatment of initial disease required?
  • Can we progress to more difficult treatment?

Question 10

reconstructive phase of treatment plan

Answer 10

• More complex restorative work
• Good foundations needed to provide complex treatment
  
  • Initial treatment complete

Question 11

maintenance phase of treatment plan

Answer 11

• Supporting patients to continue care at home
  
  • Maintaining a health after your treatment plan is complete
  • Monitoring for further disease or failure of restorations

Question 12

possible diagnosis/problems for:

• History
  
  • C/O:
    
    • Very bad headache and extremely dry mouth and bad breath
  • HPC:
    
    • Went out to the QMU last night and drank a lot of alcohol. Got home and didn’t brush teeth.
  • DH:
    
    • Usually brushes teeth before bed, attends dentist for regular check ups
  • MH:
    
    • Fit and Well, no regular medications, no allergies
  • SH:
    
    • Smokes at weekends only
    • Drinks 30 units of alcohol per week
  • FH:
    
    • Nil
• Examination
  
  • Extra- Oral Examination
    
    • Nothing abnormal detected
  • Intra-Oral Examination
    
    • Red inflamed gingivae throughout
    • Xerostomia
    • Halitosis
  • Basic Periodontal Examination
  • Dental Charting
    
    • All 32 teeth present and unrestored
    • No carious lesions present
• Special tests
  
  • Plaque and gingivitis index
    
    • Plaque score 80%
    • Gingivitis score 80%
  • No radiographs indicated as taken within last 6 months

Answer 12

• Bad headache
• Xerostomia (Dry mouth)
• Halitosis (Bad breath)
• Plaque Induced Gingivitis (inflamed bleeding gums)
• Alcohol Consumption >14 units per week
• Smoking

Question 13

possible diagnosis for

• History
  
  • C/O:
    
    • Spaces at the front when smiling, finding it difficult to chew food
  • HPC:
    
    • Not been to the dentist for years, had some teeth out at the front due to decay 2 years ago
  • DH:
    
    • Brushes occasionally
  • MH:
    
    • High blood pressure (Ramipril), high cholesterol (Atorvastatin)
  • SH:
    
    • Smokes 30 cigarettes per day for 40 years
  • FH:
    
    • Nil
• Examination
  
  • Extra- Oral Examination
    
    • Nothing abnormal detected
  • Intra-Oral Examination
    
    • Visible plaque, bleeding on probing
    • Missing teeth (no posterior teeth lower left)
    • Crown lost tooth 22
  • Basic Periodontal Examination
• Special tests
  
  • Periapical radiographs 11 22 46 normal
  • Plaque and gingivitis index (50%/50%)
  • Study models
  • Photographs

Answer 13

• Oral hygiene
• Gingivitis
• Multiple missing teeth
• Lost crown 22
• Heavy smoker
• No teeth to bite on lower left

Question 14

treatment plan for:

• History
  
  • C/O:
    
    • Spaces at the front when smiling, finding it difficult to chew food
  • HPC:
    
    • Not been to the dentist for years, had some teeth out at the front due to decay 2 years ago
  • DH:
    
    • Brushes occasionally
  • MH:
    
    • High blood pressure (Ramipril), high cholesterol (Atorvastatin)
  • SH:
    
    • Smokes 30 cigarettes per day for 40 years
  • FH:
    
    • Nil
• Examination
  
  • Extra- Oral Examination
    
    • Nothing abnormal detected
  • Intra-Oral Examination
    
    • Visible plaque, bleeding on probing
    • Missing teeth (no posterior teeth lower left)
    • Crown lost tooth 22
  • Basic Periodontal Examination
• Special tests
  
  • Periapical radiographs 11 22 46 normal
  • Plaque and gingivitis index (50%/50%)
  • Study models
  • Photographs
• diagnosis and problems
  
  • Oral hygiene
  • Gingivitis
  • Multiple missing teeth
  • Lost crown 22
  • Heavy smoker
  • No teeth to bite on lower left

Answer 14

• Lost crown on 22
  
  • Options
    
    • Crown
      
      • Post crown with root canal treatment
      • Metal
      • Metal Ceramic
      • Lithium disilicate glass
      • Alumina
    • Extraction
      
      • Overdenture
      • Precision attachment for denture
      • Dental Implant
• Missing teeth
  
  • Options
    
    • Denture
      
      • Cobalt chrome
      • Acrylic
      • Upper only/Lower only
    • Bridgework
      
      • Conventional
      • Resin Bonded
    • Dental Implants
      
      • Implant supported crowns
      • Implant supported bridge

Question 15

can their be more than one treatment plan?

Answer 15

yes